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KMID : 0614420140420030091
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Mental Health & Social Work
2014 Volume.42 No. 3 p.91 ~ p.120
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Effects of Stigma on Self-esteem among Individuals with Mental Illness - Focusing on the Self-protective Properties of Stigma
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Kim Sung-Yong
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Abstract
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According to traditional stigma theories, stigma has effects on self-esteem with mental illness(MI). The results of recent studies, however, do not always support the negative relationship between stigma and self-esteem. Recent studies paradoxically showed positive relationships between stigma and self-esteem, which is called self-protective properties of stigma. However, very little is known about whether self-protective functions of stigma can be replicated among individuals with mental illness. This study aims to examine self-protective properties of stigma can be replicated among individuals with MI and examine whether the effects of stigma on self-esteem differ depending on causal attributions of MI. Structural equation modeling was done involving 1,742 individuals with MI residing in long-term care mental institutions. Controlling for socio-demographic and clinical characteristics, (1) individuals with higher levels of stigma presented higher levels of self-deprecation, supporting traditional stigma theory and (2) they also presented higher levels of self-worth, supporting the self-protective properties of stigma. (3) The effects of stigma on self-worth were mediated by attributions for stressful life events, whereas the effects of stigma on self-deprecation were mediated by attributions for supernatural causes. Based on these findings, practical implications for coping stigma among individual with MI are discussed.
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KEYWORD
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Mental Illness, Stigma, Two-dimensions of Self-esteem, Attribution, Self-protective Property
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